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General NPI Number Information
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NPI Number | 1194543181
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Entity Type | Individual
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Provider Name | TONYA COLLINSWORTH
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 933 E MULBERRY ST
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City | ANGLETON
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State | TX
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Zip | 77515-5075
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Country | US
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Telephone | 713-376-0301
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Fax | 979-849-3428
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Provider Business Mailing Address
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Address Line | 426 COUNTY ROAD 243
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City | ANGLETON
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State | TX
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Zip | 77515-7152
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Country | US
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Telephone | 713-376-0301
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Fax | 979-849-3428
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 001009660
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License Number State | TX
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